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Nonblisterform lesions are solid and thus have no fluid component they feel firm upon palpation. They are classified depending on their diameter and pattern into
a. Papule โย Consists of tissue and is equal to or less than 0.5 cm in
greatest diameter.
b. Nodule โย Consists of tissue and is greater than 0.5cm but equal to or
less than 2.0 cm in largest diameter:
i. Sessileย โย Broad based.
ii. Pedunculatedย โย Connected to the surface by a stalk.
lesions contain a bodily fluid and are usually referred as a โblister.โ They are usually identified by a characteristic translucent
appearance and upon palpation feel soft,
a fluctuant sensation.
depending on
their greatest diameter and the type of fluid material contained:
a. Vesicle :Equal to or less than 0.5 cm (5mm) in greatest diameter.
Aย vesicle contains serum or mucin, and the color is usually clear or translucent;
however, it is sometimes slightly whitish or bluish.
Bulla :ย Greater than 0.5 cm in greatest diameter. A bulla usually
contains serum or mucin but may occasionally contain extravasated blood;
the color may be clear, reddish, or bluish depending on the fluid content.
c. Pustule ย Any size. A pustule exclusively contains a purulent
exudate (โpusโ), and the color is yellowish.
lesions contain a bodily fluid and are usually referred as a โblister.โ They are usually identified by a characteristic translucent
appearance and upon palpation feel soft,
a fluctuant sensation.
depending on
their greatest diameter and the type of fluid material contained:
a. Vesicle :Equal to or less than 0.5 cm (5mm) in greatest diameter.
Aย vesicle contains serum or mucin, and the color is usually clear or translucent;
however, it is sometimes slightly whitish or bluish.
Bulla :ย Greater than 0.5 cm in greatest diameter. A bulla usually
contains serum or mucin but may occasionally contain extravasated blood;
the color may be clear, reddish, or bluish depending on the fluid content.
c. Pustule ย Any size. A pustule exclusively contains a purulent
exudate (โpusโ), and the color is yellowish.
#Oral_medicine
#SCC
๐ตSigns and symptoms:
Oral lesions are asymptomatic initially, highlighting the need for oral screening.
Most dental professionals carefully examine the oral cavity and oropharynx during routine care and may do a brush biopsy of abnormal areas.
The lesions may appear as areas of erythroplakia or leukoplakia and may be exophytic or ulcerated
๐ตThe chief risk factors for oral squamous cell carcinoma are:
1.Smoking (especially > 2 packs/day)
2.Alcohol use
Squamous cell carcinoma of the tongue may also result from any chronic irritation, such as dental caries, overuse of mouthwash, chewing tobacco, or the use of betel quid.
๐ตDiagnosis
1.Biopsy
2.Endoscopy to detect second primary cancer
3.Chest x-ray and CT of head and neck
Any suspicious areas should be biopsied. Incisional or brush biopsy can be done depending on the surgeon's preference
๐ตTreatment
Surgery, with postoperative rad
#Oral_medicine
#SCC
๐ตIncidence:
๐ถpossible sites
๐นlower lip
๐นTongue
๐นfloor of the mouth
๐นSoft palate
๐นgingival / alveolar ridge
๐นBuccal mucosa
๐ตEtiology
The Etiology is unknown. But a number of etiological factors have been implicated.
๐ดstrong associated:
.tobacco Smoking and chewing chronic alcohol consumption
.human papilloma virus Infection
#Oral_medicine
#SCC
๐ตSquamous cell carcinoma
It is amalignant neoplasm of stratified squamous epithelium in the oral cavity
๐นCapable of local destructive growth and distant metastasis
#OralMedicine
#Premalignant_disease
#Erythroplasia
๐บ DESCRIPTION:
๐ This is a clinical description designating a velvety red but not ulcerated area on mucous membrane.
๐The texture may be normal or roughened.
๐Size is variable, some so small as to virtually escape discovery, whereas large areas are conspicuous to casual inspection.
๐There are usually no symptoms. Being neither elevated nor depressed, they present as quie, unpretentious lesions.
๐ The border may be sharp or blend imperceptibly into surrounding normal mucosa.
๐ It must constantly be kept in mind that early carcinoma frequently appears as an area of erythroplasia.
๐บ ETIOLOGY:
๐ There are many different diseases that appear as erythroplasia. Local irritants and infection, especially Candida, are responsible for some lesions.
๐ For those that prove to be dysplastic or neoplastic, the etiology is unknown.
๐ Tobacco and alcohol are chief suspects
๐บ TREATMENT:
๐ Treatment depends on the histologic findings. If the biopsy shows dysplasia or carcinoma, total excision is indicated.
๐บ PROGNOSIS:
๐ This depends on the histologic diagnosis and extent of the lesion.
๐ In one study, more than 90% of oral erythroplakias were dysplastic (premalignant) or malignant on the day of the biopsy.
๐ Invasive carcinomas will require more extensive surgery that may include
#OralMedicine
#Premalignant_disease
#Erythroplasia
#OralูMedicine
#Salivery_gland_disease
#Mucocele
๐บ DESCRIPTION:
๐ A mucocele is a collection of saliva in the oral mucosa.
๐ They are soft elevations whose color ranges from that of normal mucosa to light blue or even white.
๐ Patients with mucoceles regularly state that the lesion โgets larger, then smaller, then larger again.โ This has become an important diagnostic sign.
๐ The mucosa of the lower lip and buccal mucosa are the most common sites, but any area that contains intraoral salivary glands is a potential site.
๐บ ETIOLOGY:
๐ Traumatic severance of salivary ducts permitting salivary escape into mucosa is the accepted etiology
๐บ DIFFERENTIAL DIAGNOSIS:
๐ Salivary gland neoplasms (especially mucoepidermoid carcinoma)
๐ varix
๐ hemangioma.
๐บ TREATMENT:
๐ธ Surgical excision deep enough to include the underlying gland that feeds it.
๐บ PROGNOSIS: Good
#OralMedicine
#Salivery_gland_disease
#Mucocele
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